11085200 - Group Insurance Premium and Plan CostsData Current as of: 12/6/2017

Group Insurance Premium and Plan Costs For the commonwealth's share of the group insurance premium and plan costs incurred in fiscal year 2018; provided, that notwithstanding any general or special law to the contrary, funds in this item shall not be available during the accounts payable period of fiscal year 2018 and any unexpended balance in this item shall revert to the General Fund on June 30, 2018; provided further, that the secretary of administration and finance shall charge the department of unemployment assistance and other departments, authorities, agencies and divisions which have federal or other funds allocated to them for this purpose, for that portion of insurance premium and plan costs as the secretary determines shall be borne by such funds and shall notify the comptroller of the amounts to be transferred, after similar determination, from the several state or other funds, and amounts received in payment of all such charges or transfers shall be credited to the General Fund; provided further, that funds may be expended from this item for the commonwealth's share of group insurance premium and plan costs provided to employees and retirees in prior fiscal years; provided further, that the group insurance commission shall obtain reimbursement for premium and administrative expenses from other agencies and authorities not funded by state appropriation; provided further, that the secretary of administration and finance may charge all agencies for the commonwealth's share of the health insurance costs incurred on behalf of any employees of those agencies who are on leave of absence for a period of more than 1 year; provided further, that the amounts received in payment for the charges shall be credited to the General Fund; provided further, that notwithstanding section 26 of chapter 29 of the General Laws, the commission may negotiate, purchase and execute contracts before July 1 of each year for policies of group insurance under chapter 32A of the General Laws; provided further, that the rules for determining the commonwealth's share of the group insurance premiums for retired and active state employees shall be the same as the standards in effect on July 1, 2012; provided further, that the commission shall notify the house and senate committees on ways and means at least 90 days before any changes in coverage, benefits or the schedule of copayments and deductibles for plans offered by the group insurance commission; provided further, that the commission may pay premium and plan costs for municipal employees and retirees who are enrolled in the commission's health plans under the commission's regulations; and provided further, that the commission shall report to the house and senate committees on ways and means not later than March 1, 2018 on: (i) the average full cost premium equivalent per enrollee; (ii) the average actual cost per enrollee for enrollees from participating municipalities; (iii) the contribution ratios for each participating municipality for fiscal year 2017; (iv) the premium reimbursement paid by each municipality per active enrollee by plan; (v) the average employee premium contribution by plan for each municipality; (vi) estimates for the total premium per active enrollee by plan for each municipality; (vii) the average employee out-of-pocket expenditure and premium contribution by salary level for employees at different salary levels; (viii) a comparison of the total premium estimate with the sum total of municipality reimbursement and average employee premium contribution; and (ix) the cost of the commonwealth's projected share of premiums for the next fiscal year